Healthcare Provider Details

I. General information

NPI: 1548532542
Provider Name (Legal Business Name): ELKHORN LOGAN VALLEY PUBLIC HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 21ST CIR
WISNER NE
68791-2044
US

IV. Provider business mailing address

PO BOX 779
WISNER NE
68791-0779
US

V. Phone/Fax

Practice location:
  • Phone: 402-529-2233
  • Fax: 402-529-2211
Mailing address:
  • Phone: 402-529-2233
  • Fax: 402-529-2211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: REGINA M UHING
Title or Position: HEALTH DIRECTOR
Credential: RN
Phone: 402-529-2233